Thyroidectomy
Conditions
Keywords
Large thyroid, purse string suture, thyroidectomy
Brief summary
Thyroidectomy for large thyroid tumor poses a problem of cosmetics, especially in terms of wide post-operative scar and prominent neck wrinkles. In this manuscript, we performed purse-string suture for the first time for the closure of skin defect after thyroidectomy of large thyroid tumors which resulted in better cosmetics as compared to the conventional suturing method.
Detailed description
Increasing demand for better cosmetics following thyroidectomy for large thyroid tumor of \> 6 cm diameter created a necessity to find an alternative to the conventional technique (CT), which could be addressed by purse string technique (PST). A non-randomized controlled trial was conducted to new thyroid tumor patients at Cipto Mangunkusumo Hospital (RSCM) from October 2013 until December 2014. Thirty patients grouped into two intervention arms of thyroidectomy with PST and CT were assessed for post-operative scar outcomes.
Interventions
Thyroidectomy closure is performed using purse string suturing technique.
Thyroidectomy closure is performed using conventional suturing technique.
Sponsors
Study design
Masking description
No masking
Intervention model description
Non-randomized controlled study
Eligibility
Inclusion criteria
* New cases of thyroid tumor in Doctor Cipto Mangunkusumo General Hospital * Tumor diameter \> 6 cm
Exclusion criteria
* Previous surgery in the anterior neck area * Local involvement of lymph nodes requiring nodes dissection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient's satisfaction | 8 to 12 weeks following thyroidectomy | Patient's satisfaction assessed using Likert scale of 1 to 10 |
| Length of scar | 8 to 12 weeks following thyroidectomy | Length of scar in milimeter |
| Width of scar | 8 to 12 weeks following thyroidectomy | Width of scar in milimeter |
| Wrinkle | 8 to 12 weeks following thyroidectomy | Presence of wrinkle |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative hospital stay | 1 week following thyroidectomy | Post operative hospital stay |
| Duration of surgery | During surgery | Duration of surgery in minutes |
| Bleeding | During surgery | Volume of bleeding during surgery in cc |